• Sr QNXT Config Analyst - Remote

    Cognizant (Olympia, WA)
    **Sr QNXT Config Analyst ** **Job ID:** \#00066084291..., you will make an impact by leading the configuration and optimization of QNXT systems to ... the QNXT system. + Proficiency in creating and maintaining provider contracts, benefits, service groups, fee tables, and policy administration. + Experience… more
    Cognizant (11/18/25)
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  • Core Systems Configuration Analyst

    LA Care Health Plan (Los Angeles, CA)
    Core Systems Configuration Analyst III Job Category: Administrative, HR, Business Professionals Department: Enterprise Configuration Location: Los Angeles, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....to achieve that purpose. Job Summary The Core Systems Configuration Analyst III is responsible for the… more
    LA Care Health Plan (11/05/25)
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  • Lead Configuration Quality/Audit…

    Molina Healthcare (Spokane, WA)
    …of business rules as they apply to each database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it ... Responsible for work load assignment to auditors. Train and coach new employees . Provide clear and concise results and comments to leaders about focal and and… more
    Molina Healthcare (11/13/25)
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  • Systems Analyst -EDI Management - SHP…

    Sharp HealthCare (San Diego, CA)
    …claims, provider , billing, capitation, financial and structural. The Systems Analyst -EDI Mgmt will work to streamline processes, create efficiencies and complete ... Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing,… more
    Sharp HealthCare (10/26/25)
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  • Senior Analyst , Business

    Molina Healthcare (UT)
    …aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. + Leads ... practices. + Where applicable, codifies the requirements for system configuration alignment and interpretation. + Provides support for requirement interpretation… more
    Molina Healthcare (11/14/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare,… more
    Commonwealth Care Alliance (08/31/25)
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